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Monograph
FDA CAT. 1H-002
Cognition

Pregnenolone

Master steroid hormone — synthesized from cholesterol; precursor to DHEA, progesterone, cortisol, estradiol, testosterone. Also acts as a neurosteroid: modulates NMDA + GABA-A receptors in CNS.

EmergingCognition
Typical dose10-50 mg
Frequencydaily, oral (morning)
Half-life9h
Citations indexed67
100%50%0%09h18h1.1d1.5d1.9dt½ 9hPK · plasma

How it clearsHalf cleared in ~9h. Most (~96%) gone by ~2d.

DeliveryOral
Half-life~9h
EvidenceEmerging
Citations67
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Mechanism

OTC supplement (DSHEA). Memory + cognitive-enhancement claims rest on small RCTs (Vallée 2014, Marx 2009 in schizophrenia) + extensive preclinical neurosteroid literature. Adrenal-fatigue/HRT-bridge cohort uses pregnenolone as a 'gentler' upstream alternative to direct DHEA or hydrocortisone. Effect is bidirectional — can lower OR raise cortisol depending on starting state, which complicates dosing for cohort users without baseline labs.

Specifics
Focus / attentionMoodLow energy / fatigueBrain fog
Caveats

Bidirectional cortisol effect — without baseline labs, you can't predict whether your dose will calm or activate. Estrogen + progesterone downstream conversion makes this contraindicated in estrogen-sensitive cancer history. Quality varies on OTC supplements. WADA-banned for athletes.

Evidence levelEmerging
Regulatory statusOTC supplement (US, DSHEA) · banned by WADA · prescription in some EU countries
DNA / pharmacogenomicsModerate — CYP17A1 + StAR polymorphisms modulate downstream conversion patterns — relevant for users who report 'feels like estrogen' or 'feels like cortisol' on pregnenolone.
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Claims & evidence

Per-claim grading. Each claim is graded independently — same peptide, different claims can carry different grades.

  • CLimited evidence

    Improves memory or cognition in healthy adults.

    1 supporting referencesVerified today
  • BModerate evidence

    Improves negative + cognitive symptoms when used as adjunct in schizophrenia.

    1 supporting referencesVerified today
References

External links to PubMed searches, ClinicalTrials.gov, and FDA materials. We do not host papers — we point at canonical sources.

  • PubMedEN
    RCTNIH-funded
    Marx CE et al, Neuropsychopharmacology 2009 — Pregnenolone in schizophrenia RCT
  • ReviewEN
    REVIEWAcademic-funded
    PubMed — Pregnenolone neurosteroid review
FDA CAT. 1H-002

OTC supplement (US, DSHEA) · banned by WADA · prescription in some EU countries

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No field reports yet

Field reports are added as users share their real-world protocols.

Pregnenolone10-50 mg · daily, oral (morning)

Next visit & citations

Handoff & sources

Running this compound? Log it in /history, then open Dr Passport before your visit. Methodology explains grades; the research dashboard sorts the full catalog with citations.

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Discussion guide, not prescription

stack is an exploration engine. Output is a discussion guide for a conversation with a licensed provider — never a prescription, dose recommendation, or sourcing instruction. Peptides discussed include compounds with limited human evidence and varying legal status by jurisdiction. Verify everything with a qualified clinician before any decision.

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